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Meter Swap . Request Number: 15486 ` Public works I?ivision Service Request � _�______.___Y--__.___._ ____--- -- Problem Address: 7514 Alden Way Requested By: Doima Depnrtment: WATER Address: No address provided ProblemlIssue: INSTALL AMR METER Phone Number: 612-723-1039 Schednled Date: 2017-05-26 Schednled 11me: 10:00:0U � � � ACIION NEEDED: Created by: Beth Kondrick Date Cres�ted: 2017-OS-22 AG"IION TAi�N: � _.__...__._____.. ....�1�.'�-�:_.�_��.... .__ ��►��,____.._...w_ ._______. ...._._._.__.._..............__.._...__.._......_.. ._......_.._..__._....._.....___.._..___ _........_._.._._........._.__.._.____.�... .�._._.._____..._._.� _....___._._____..__.._......_.._..................._.�______._._.._............__....._..._.___._.._.__._._.....___....._._......__.._._..__.. __...._...........___.....__._ ._ � Status: In Pro�ess Sabmitter Haa Been r . Cuntzcted Date Compteted: ,[' 1 r_v ( � Completed by: �,��� �'�d`lIl 1� � � �;,., , � ;�;:�;* City of Fridley Water Departrnent ��(a� , 01 � 6431 University Avenue PIE � /�r � 4� ,�� • Fridley, MN 55432 U 763-572-3566 S�.� �'��� I/we hereby authorize the C'�ty of Fridfey andior its employees to do what is necessary to replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior plumbing. (Per City cade 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operatio�. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand i am also required to obtain a permtt prior to any work,if necessary. FINAL METER READtNG(oid meterJ ��� � �� Name: 1��001.I�L� Address � � `� � 1�%e1� W� Phone Number ��— �� " ��� p�e � "�a,�-(� --- �� �ignature W�tness Signature ''�— �� ��� �� OLD METER# OLD READING �� � � �" AtEW METER# - 1���� I � Cp NEW READING p ERT# ld�-� � 5 � �� _ FRlDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE P�ior to construding o�repair of any water of sewer line connecting the existing municipat system and any house or building for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shail he unlawfut to cover any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shail be Ilable for ail repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property oarner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the►rair�tenance andjor repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant, owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or root cutting and to maintairt the water senrice wrb stop box for operability and at such height as wifi ensure that it remains above the�nished grade of the land or property. (Ref 638,1156,1191)